Condensing Osteitis
نویسندگان
چکیده
Adresa za dopisivanje Mr. sc. Walter Dukić Zavod za pedodonciju Stomatološkog fakulteta Sveučilišta u Zagrebu Gundulićeva 5, HR-10 000 Zagreb [email protected] 01/4802-132 Sažetak Kondenzirajući ostitis je patološko zadebljanje kosti u čeljustima, a karakteriziraju ga blagi klinički simptomi. Zadebljanje nastaje zbog poremećene pregradnje kosti, kao reakcija na blagu infekciju iz zubne pulpe. Ekstremno zadebljanje kosti lijeve strane maksile uzrokovalo je i asimetriju lica, a kliničkim te radiološkim pregledom nije se mogla postaviti konačna dijagnoza. Diferencijalno-dijagnostički, u obzir su dolazili svi tumori koštanog tkiva i cementom te kondenzirajući ostitis zbog dugotrajnog neuspješnog konzervativno-endodontskog tretmana gornjega prvog molara. Nakon kirurškog tretmana u lokalnoj anesteziji uklonjena je patološki promijenjena koštana masa i ekstrahiran zub uzročnik, jer se više nije mogao izliječiti konzervativnom terapijom. Patohistološki nalaz potvrdio je upalnu etiologiju koštane promjene. Postoperativni klinički i radiološki pregledi pokazali su potpunu sanaciju područja te koštano cijeljenje odgovarajuće gustoće i trabekularnosti. Slučaj predstavljamo kao ekstremni primjer kondenzirajućeg ostitisa zbog veličine koštane promjene, a pokazuje kako i razmjerno blaga infekcija iz zuba može prouzročiti dosta velike koštane promjene. Ključne riječi infekcija; čeljust; zubna pulpa 1 Zavod za pedodonciju Stomatološkog fakulteta Sveučilišta u Zagrebu Department of Pedodontics School of Dental Medicine University of Zagreb 2 Zavod za oralnu kirurgiju Stomatološkog fakulteta Sveučilišta u Zagrebu Department of Oral Surgery School of Dental Medicine University of Zagreb 3 Dom zdravlja Zaprešić Health Center Zaprešić
منابع مشابه
Condensing Osteitis Lesions in Eastern Anatolian Turkish Population
Objectives: The aim of this study was to determine the prevalence of condensing osteitis lesions in Eastern Anatolian Turkish population. About condensing osteitis lesions, these were evaluated; sex, localization, side, age, shape and status of involved teeth (caries, restoration etc.). Methods: This retrospective study was carried out using panoramic radiographs of 962 patients who came to for...
متن کاملCondensing osteitis of the clavicle: magnetic resonance imaging as an adjunct method for differential diagnosis.
Condensing osteitis of the clavicle is a benign disorder leading to osteosclerosis of the medial end of the clavicle. The differential diagnosis between condensing osteitis of the clavicle and ischaemic necrosis of the medial clavicular epiphysis (Friedrich's disease), osteoid osteoma, and low grade osteomyelitis can be difficult. In the case history reported here, magnetic resonance imaging wa...
متن کاملCondensing osteitis of the clavicle: does it exist?
Condensing osteitis of the clavicle was first described as a disease entity in 1974. There is painful localised swelling of the clavicle of undetermined origin, with increased radio-density, but an infective aetiology has not been excluded by previous authors. We report three children with the clinical and radiological findings of 'condensing osteitis'. Two of them had raised levels of antistap...
متن کاملCondensing osteitis of the clavicle in a man: any relationship with tooth decay?
Condensing osteitis of the clavicle is a rarely seen pathology since its first description in 1974. Although mechanical stress is claimed for aetiology, but remains a dilemma for physicians. The intermittent or steady pain is variable in intensity and generally localised at the medial end of the involved clavicle, supraclavicular fossa, ipsilateral anterior thorax and shoulder. In this report, ...
متن کاملCondensing osteitis of the medial clavicle--an intermediate-term follow-up.
INTRODUCTION Condensing osteitis of the clavicle is a benign idiopathic condition affecting the medial end of the clavicle, and is characterised by sclerosis and expansion of the clavicular head. MATERIALS AND METHODS Nine cases of condensing osteitis were reviewed. Their mean age was 37 years (range, 22 to 65 years). All patients presented with pain and swelling localised to the sternoclavic...
متن کاملThe prevalence of idiopathic osteosclerosis and condensing osteitis in Zagreb population.
The aim of this study was to determine the prevalence of idiopathic osteosclerosis (IO) and condensing osteitis (CO) in Zagreb patient population sample according to age and sex, localization in the jaw, as well as dental relationship between IO and CO lesions. A retrospective study was performed using orthopantomograms of 1200 patients who underwent dental treatment. Descriptive characteristic...
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